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. 2023 May 3;10(8):5356–5365. doi: 10.1002/nop2.1773

TABLE 3.

Quality improvement activities implemented by RNXs, stratified by educational level and organized according to the Quality Assurance and Performance Improvement (QAPI) elements.

Quality improvement activities implemented by RNXs in their current nursing home: % yes Overall (n = 104 RNXs) n (%) Missing n (%) Diploma (n = 48) n (%) Bachelor (n = 35) n (%) Master (n = 17) n (%) SMD p‐value
Governance and leadership
Handling complaints from residents or their relatives 75 (72.1) 0 (0.0) 32 (66.7) 27 (77.1) 13 (76.5) 0.16 0.52
Handling reported errors (e.g. CIRS) 50 (48.5) 1 (1.0) 19 (39.6) 20 (58.8) 9 (52.9) 0.26 0.21
Organizing/conducting surveys on residents' satisfaction 39 (37.5) 0 (0.0) 17 (35.4) 16 (45.7) 4 (23.5) 0.32 0.28
Organizing/conducting surveys on staff's satisfaction 34 (32.7) 0 (0.0) 17 (35.4) 13 (37.1) 1 (5.9) 0.55 0.05
Feedback, data systems and monitoring
Setting quality goals for the NH or for specific units 80 (76.9) 0 (0.0) 34 (70.8) 28 (80.0) 15 (88.2) 0.29 0.30
Giving feedback to the team about the quality of care provided by the NH (e.g. key figures) 77 (74.0) 0 (0.0) 34 (70.8) 25 (71.4) 15 (88.2) 0.29 0.34
Comparing the results of the NH or of specific units with set quality goals 70 (67.3) 0 (0.0) 27 (56.2) 25 (71.4) 15 (88.2) 0.50 0.04
Interpreting results of quality surveys (e.g. on quality indicators) 68 (66.0) 1 (1.0) 25 (53.2) 26 (74.3) 14 (82.4) 0.43 0.04
Preparing or performing an internal benchmarking/quality follow‐up (i.e. comparing the results of the units within the NH/tracking the results over time) 61 (59.2) 1 (1.0) 18 (37.5) 26 (74.3) 14 (82.4) 0.66 <0.01
Preparing or performing an external benchmarking (i.e. comparing own NH's results with other NHs' results) 44 (42.3) 0 (0.0) 13 (27.1) 21 (60.0) 8 (47.1) 0.46 0.01
Developing diagrams or graphs to display results of quality surveys 42 (40.4) 0 (0.0) 14 (29.2) 18 (51.4) 9 (52.9) 0.33 0.07
Performance improvement projects
Implementing an intervention, a program or a quality improvement project 93 (90.3) 1 (1.0) 41 (87.2) 32 (91.4) 16 (94.1) 0.16 0.67
PDSA: see Table 4
Clinical teaching 91 (87.5) 0 (0.0) 44 (91.7) 30 (85.7) 14 (82.4) 0.19 0.52
Offering modules/education to the team given by the RNX 82 (80.4) 2 (1.9) 37 (80.4) 28 (80.0) 14 (82.4) 0.04 0.98
Offering modules/education to the team organized by the RNX (e.g. by inviting external speakers) 64 (62.7) 2 (1.9) 22 (47.8) 26 (74.3) 13 (76.5) 0.41 0.02
Systematic analysis and systematic action
RCA and FMEA: see Table 4
Leading or conducting case reviews 82 (78.8) 0 (0.0) 34 (70.8) 30 (85.7) 15 (88.2) 0.29 0.15
Participating in the strategic planning of the NH 63 (61.2) 1 (1.0) 23 (48.9) 26 (74.3) 10 (58.8) 0.36 0.07

Note: No educational level could be attributed to n = 4 RNXs.

Abbreviations: CIRS, Critical Incident Reporting System; FMEA, Failure modes and effects analysis; NH, Nursing Home; PDSA, Plan‐Do‐Study‐Act cycle; RCA, Root cause analysis; RNXs, Nurses in expanded roles; SMD; Standardized mean difference.